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01-10-'17 12:24 FROM- 1-676 P0002/0004 F-823 <br /> Y.L S. 'V1r h�..Y`,1::�'.'> t' Aa; it TI�f4S "YtiC.l�+5 <br /> r <br /> .n <br /> o �:.'p. RdP::::•�.4 ca�.w..7... .L x i E ... _ ..._ ... .. ... ..... ,3�.. { . �f`;t}?Sb¢. � .A <br /> Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. <br /> IS THIS GEOTHERMAL? ❑Yes El No <br /> HEATING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Fuel: <br /> Flue Size: <br /> Input BTUs: <br /> Output BTUs: _ <br /> CFM: <br /> COOLING SYSTEMS <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ❑ Gas Factory Fireplace Brand Name: <br /> Wood Burning Fireplace <br /> Wood Stove Model No.: �XC(a(lln g1 <br /> ❑ Wood Stove with Flue/Masonry <br /> VENTILATION <br /> ❑ No. Kitchen Exhaust duct recirculating cfm <br /> ❑ No. Bath Exhaust(must have duct outside) cfm <br /> O No. Other Fans: Locations cfm <br /> FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) <br /> O Installation ❑ Removal <br /> Fuel Oil: gallons El Underground ❑Inside El Outside <br /> LP Gas: gallons <br /> Other: <br /> GAS LINE ONLY <br /> ❑ Outdoor Grill El Other/List What&Where: <br /> 2 <br />